LEEDS MEDICAL PROTECTION ASSOCIATION.

393 namely, that the different species of vegetable and animal practice ; neither sball we make any increase of our charges existing throughout organic creation have emanated from dif- when attending our own patients, either alone or together, but ferent species of embryonic germs, and that these embryonic only when attending in consultation with other medical practithemselves have originated in a union of different species tioners, or when consulted at home by patients who are usually of simple organising agents, which union of these simple organ- attended by other physicians or surgeons. " With many thanks for past kindnesses, ising agents has been brought about by organic affinity. That " We remain, dear Sir, very sincerely yours, is, in other words, this union of the different species of organ" WILLIAM BRAITHWAITE, M.D. ising agents comprised in the embryonic germ has been brought about by the affinity naturally subsisting between one such "JAMES BRAITHWAITE, M.B. LOND." of organising agent and another, and that consequently Proposed by Mr. CHORLEY, and seconded by Mr. JOSEPH the origin of the embryonic germs which have originated the " That the circular now read be considered by this species is the organic affinity referred to....... Such, then, is TEALE,- a infraction of the ordinary rules of

germs

species

gross etiquette, opinion as to the origin of species,-namely, that the em- meeting and disgracefully derogatory to our profession." bryonic representatives of the different species were first formed Proposed by Mr. GARLICK, and seconded by Mr. MORLEY,— by the operation of organic affinity, and that subsequently " That the members of this Association decline from this

any

.

these embryonic representatives, as their special physiological date to meet the Messrs. Braithwaite in consultation." function, developed the different species of vegetable and of Proposed by Dr. HARDWICK, and seconded by Mr. HOLWELL,

animal."-pp. 75, 77. It is possible the above explanation

-" That a copy of the foregoing resolutions be forwarded by of the thesis of Dr. the Secretary for publication in the next issue of THE LANCET." Freke’s memoir may lead some of our readers to desire a further with the author’s elaborated views " On the Origin acquaintance of Species." If so, it will be satisfactory to them to learn from THE TREATMENT OF GOUT. us that Dr. Freke is very anxious to assure all such ardent To the Editor of THE LANCET. inquirers that " nothing is advanced in this publication that is SIR,—Although everyone appears to be more or less learned not perfectly in harmony with the Mosaic record of creation." in the treatment of gout, it will not be denied, I think, that of readers is circle Whether Dr. Freke will have a large perremains to be suggested for the relief of thoseterrible something from the of least at slight feeling haps questionable, judging mistiness which now and then was associated with our endea- twinges which are experienced in the great toe and other joints. Without entering into any discussion on the pathology of gout, vours to become masters of the argumentation. it would appear, from the peculiar manner in which tumefaction takes place, that this swelling does not wholly arise from a A Manual of Qualitative Analysis. By ROBERT GALLOWAY, congested state of the bloodvessels, nor from the cedematous F. C. S. Third Edition. With Illustrations on Wood. Lon- extravasation of fluid in the tissues; for, in the first place, howdon : John Churchill. soever high the part affected may be elevated, no apparent THE author’s aim in writing this volume has been to furnish a diminution in size is effected, nor, indeed, any sensible relief suitable guide for the beginner-to make it, in fact, a student’s nor is there often any pitting on pressure. It would produced, book. In this object he has fully succeeded, as shown by seem that there is to a extent an emphysematous puffigreat the fact that a third edition has been called for in a very short ness, by which the bones and muscles are loosened from their ’space of time. The work has three special recommendations : mutual attachments, as is evidenced by the intense pain proit is brief, the arrangement is natural, and the descriptions are duced by lifting the foot off a sofa, and allowing it to hang for clear and simple; indeed it is just such a book as the student a moment, and observing the extraordinary expansion which place on putting the foot on the floor; and, indeed, this requires. In the present edition the author has added the takes seems to be corroborated by, and to warrant, the following methods of and a Cartmel Bunsen, paper by treatment. I shall best elucidate this by giving a case in photo-chemical the latter chemist on his Blow-pipe Experiments, also various point. methods for the separation of the phosphates and oxalates preAn elderly gentleman had gout in the left great toe, with swelling of the foot. The pain was excruciating, cipitated by ammonia. The student cannot do better than be- considerable and the " twinges" most fearful. He screamed out violently ’come possessed of Galloway’s " Qualitative Analysis." if anyone approached him, lest even the dress of a lady should come in contact with the toe. His sufferings were more acute than any, I think, I had ever witnessed. I suggested to him The Portable Gymnasium:a Manual of Exercises arranged that making steady pressure on the affected part he would for Self-instruction in Home Gymnastics. By FR. GUSTAV gain by relief. Had I proposed to cut his leg off he could magical ERNST, pp. 72. London, 1861. not have been more startled. However, being a man of a A SIMPLE and easy guide to the use of a machine, which resolute mind, he permitted me to place the palm of my hand probably may be found sometimes of benefit in cases where gently, yet firmly, against the joint, and was not only increased muscular movements can be enforced under the astonished, but delighted, to find the relief it afforded. He then consented to the use of a bandage, which was thus applied. superintendence of a scientific and prudent medical adviser. Having encased the foot in cotton wadding, so as to make the pressure more easily applied, I passed an elastic bandage twice round the ankle, crossing it, in the usual manner, over LEEDS MEDICAL PROTECTION ASSOCIATION. the dorsum of the foot, under the instep, and round the heel. I then carried it onwards, and gradually included the ball of and the toes generally. The pressure being pro. AT a meeting of physicians and surgeons in Leeds on the the great toe towards the seat of disease diminished the 15th inst., convened by circular, Dr. WILSON in the chair, the gressive distad nervous sensibility of the part, and lessened the apprehension ’following resolutions were passed unanimously :of the patient. Proposed by Dr. CHADWICK, and seconded by Mr. SMITH,Immediately after the bandaging my patient fell asleep for That we who are now present constitute ourselves into an first time for four days and nights, and slept uninterruptedly the Association for the purpose of maintaining the dignity of our for eleven hours. The other part of the medical treatment and of discouraging quackery in all its varied profession, was of the usual character. But there is one other remedy phases." I rely on more than anything else, and that is, a large which Proposed by Mr. SAMUEL HEY, and seconded by Dr. HEATON, -" That a printed circular, extensively disseminated by the mustard plaster over the whole of the abdomen for fifteen or twenty minutes, to be re-applied as often as the skin will bear Messrs. Braithwaite, general practitioners in Leeds, be read by it. It instantly gives relief to the gout, it relieves dyspepsia, and Mr. laid on the Secretary, the table." Nunneley, invigorates the digestive powers and the functions of the liver, as well as promotes a healthy action of the bowels, even when (COPY.) "Leeds, December, 1860. ordinary aperients have failed. I a.m. Sir. vours faithfully, " DEAR SIR,-Although we have lately taken our degrees as C. B. GARRETT, M.D. physicians, this will not alter our mode of conducting family